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skills, behavioral history, and other factors that might influence his or her adjustment and contribute to a safe and successful experience. (4) The facility shall never place an LGBTQv youth in a room with another youth who is overtly hostile toward or demeaning of LGBTQv individuals. (5) To avoid subjecting a transgender youth to unnecessary risk of harm, the facility shall work with the youth to determine the best solution for using bathroom and shower facilities. Appropriate solutions might include: (a) Installing privacy doors or other barriers on bathroom stalls and showers that also permit reasonable staff supervision; (b) Making single-use bathroom and shower facilities available to transgender youth; (c) Permitting transgender youth to use the bathroom and shower facilities before or after the other youth on the unit. (6) Facilities shall make similar accommodations to ensure that transgender youth have sufficient privacy when dressing and undressing. B. Requirements for Child Care Institutions Providing Care for Prenatal, Post-Partum, or Parent- ing Youth. APPLICABILITY. A child care institution that is solely licensed to provide care for custodial parents and expectant mothers must meet these additional requirements. (1) A Child Care Institution that is licensed to provide care to custodial parents or expectant mothers, shall meet the additional requirements of this section. (2) The care plan developed shall include goals and approaches for all of the following: (a) Parenting skills instruction that includes all of the following: (i) Prenatal and other health care services; (ii) Child development; (iii) Bathing and hygiene; (iv) Child safety; (v) Child guidance and behavior management; (vi) Domestic violence issues, sudden infant death syndrome, shaken baby syndrome, and mental health and alcohol and other drug abuse counseling as appropriate; (vii) Nutrition and meal preparation; (viii) Childcare options. (b) Life skills instruction that includes all of the following: (i) Family planning and relationships; (ii) Independent living skills, economic self-sufficiency, budgeting and job skills; (iii) Parental rights and responsibilities, including child support; (iv) Choosing and monitoring child care providers; (v) Accessing community resources, transportation, and transitional housing. (3) An expectant mother shall be provided prenatal and postnatal care from a physician or a nurse-midwife. The facility shall ensure that the expectant mother gives birth in a medical facility. (4) The facility shall ensure the health, safety, and welfare of the children of custodial parents and provide care to those children in compliance with these regulations. (5) If the child is not on the premises or is otherwise unable to care for his or her child, childcare may be provided on the premises only as follows: (a) The staff member or volunteer staff used to meet staff to child ratios shall have completed the training requirements for a caregiver; (b) Childcare may be provided off premises only by a child care provider that is licensed or registered by the Agency.